National Quality Forum Issues First Consensus Standards for the Treatment of Substance Use ...(onal Institute on Alcohol Abuse a...),Health

Institute on Alcohol Abuse and Alcoholism guidelines and/or any

tobacco use should receive a brief motivational counseling

intervention by a healthcare worker trained in this technique.

Promoting Engagement in Treatment for Substance Use Illness

5. Healthcare providers should systematically promote patient initiation

of care and engagement in ongoing treatment for substance use illness.

Patients with substance use illness should receive supportive services

to facilitate their participation in ongoing treatment.

Withdrawal Management

6. Supportive pharmacotherapy should be available and provided to manage

the symptoms and adverse consequences of withdrawal, based on a

systematic assessment of the symptoms and risk of serious adverse

consequences related to the withdrawal process. Withdrawal management

alone does not constitute treatment for dependence and should be

linked with ongoing treatment for substance use illness.

Therapeutic Interventions to Treat Substance Use Illness

Psychosocial Interventions

7. Empirically validated psychosocial treatment interventions should be

initiated for all patients with substance use illnesses.

Pharmacotherapy

8. Pharmacotherapy should be recommended and available to all adult

patients diagnosed with opioid dependence and without medical

contraindications. Pharmacotherapy, if prescribed, should be provided

in addition to and directly linked with psychosocial

treatment/support.

9. Pharmacotherapy should be offered and available to all adult patients

diagnosed with alcohol dependence and without medical

contraindications. Pharmacotherapy, if prescribed, should be provided

in addition to and directly linked with psychosocial

treatment/support.

10. Pharmacothe
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